Divine Dermatology Pllc
LBN: Divine Dermatology Pllc
Divine Dermatology Pllc is an health care organization with primary practice located at 2191 9Th Ave N Ste 100 , St Petersburg FL 33713-7147. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Divine Dermatology Pllc can be contacted via phone (727) 528-0321, or through Chandan, Neha via phone (727) 528-0321.
Contact Information
Primary practice address
2191 9Th Ave N Ste 100
St Petersburg FL 33713-7147
Phone: (727) 528-0321
Fax: (727) 498-8832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME87149 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1508976010 |
|---|---|
| LBN Legal business name | Divine Dermatology Pllc |
| DBA Doing business as | |
| Authorized official | Chandan, Neha Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jun 4th, 2026 - about 4 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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